With careful impression techniques and model modification methods, a custom ankle-foot orthosis (AFO) may be fabricated to meet the requirements of a physician prescribing noninvasive treatment for postsurgical clubfoot care. The impression is obtained with maximum achievable correction and modified using three-point pressure systems that overcorrect the clubfoot deformity.
This AFO, in the experience of the authors, is effective in protecting the surgical corrections from undue stresses early on as well as helping to prevent postoperative recurrence of the deformity. The postoperative time in a cast also may be shortened if proper orthotic treatment is achieved. Some advantages of a shorter cast period include convenience for patient and family and less risk of skin breakdown.
© 1995 American Academy of Orthotists & Prosthetists